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Question 12#

Cardiac rehabilitation programmes aim to consider the psychological and social implications of CHD as well as the practical lifestyle and medication measures involved in secondary prevention. 

Which one of the following steps would not be an appropriate part of a cardiac rehabilitation programme?

A. Assessment with the Hospital Anxiety and Depression Scale (HADS)
B. Assessment of quality of life using the Dartmouth CO-OP Scales
C. Assessment of quality of life using the Borg Scale
D. Support for economic, welfare, and housing issues
E. Support and advice for stress management

Correct Answer is C

Comment:

The Borg Scale is used to assess the rate of perceived exertion, not quality of life. There are two Borg Scale systems—the original scale rates exertion from 6 to 20 compared with range 0–10 for the Borg CR10 Scale. The odd range of 6–20 is to follow the general heart rate of a healthy adult by multiplying by 10. The other measures listed in the question should be included in a CR programme, along with practical advice on return to work, driving, travel (including air travel), and return to sexual intercourse.